Laubner Gabija, Mikulevičienė Gabija
Republican Vilnius University Hospital, Centre of Toxicology, Vilnius, Lithuania.
Acta Med Litu. 2016;23(3):193-197. doi: 10.6001/actamedica.v23i3.3385.
(hereinafter - ) is a common edible fungus that is considered to be toxic under certain conditions. Here, we report four cases of acute poisoning caused by , including one lethal outcome in Lithuania between 2004 and 2013. In the severe case, fatigue, nausea without vomiting and muscle pain, profuse sweating without fever, and respiratory insufficiency occurred. Laboratory tests showed an elevation of creatine kinase (CK), aspartate aminotransferase (AST), and alanine aminotransferase (ALT). Although clinical findings and laboratory tests support evidence of rhabdomyolysis, no renal insufficiency was observed. Significance of in cardiac changes is feasible but remains unclear.
（以下简称 - ）是一种常见的食用菌，在某些情况下被认为是有毒的。在此，我们报告了四起由 引起的急性中毒病例，其中2004年至2013年期间在立陶宛有一例致死病例。在严重病例中，出现了疲劳、无呕吐的恶心和肌肉疼痛、无发热的大量出汗以及呼吸功能不全。实验室检查显示肌酸激酶（CK）、天冬氨酸氨基转移酶（AST）和丙氨酸氨基转移酶（ALT）升高。尽管临床发现和实验室检查支持横纹肌溶解的证据，但未观察到肾功能不全。 在心脏变化中的意义是可能的，但仍不清楚。
